Organization
REYNOLDS YOUTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP EDWARD REYNOLDS (OWNER)
(828) 247-4856
Entity
Organization
Contact information
Practice address
2020 US HIGHWAY 221 S, FOREST CITY, NC 28043-7056
(828) 247-4856
(828) 247-4857
Mailing address
2020 US HIGHWAY 221 S, FOREST CITY, NC 28043-7056
(828) 247-4856
(828) 247-4857
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-081-051
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603552
—
NC
Enumeration date
10/26/2006
Last updated
08/22/2020
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